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A TRUE COPY r'FRTIFICATION ON LAST PAGE . BUTLER,CLERK Automobile Liability (all automobiles-owned, hired, or $500,000 Combined Single Limit non-owned) In the event the Applicant hires employees for the Event or is otherwise required to carry workers' compensation insurance, the Applicant will provide evidence of workers' compensation insurance or exemption as required by Florida Workers Compensation Law as defined in Chapter 440, Florida Statutes. Applicant will assume responsibility for Applicant's discretion in confirming that all of the Applicant's contractors or subcontractors engaged in work for the Event have the appropriate workers' compensation coverage. Such evidence will include evidence of workers' compensation benefits and employer's liability insurance for the following minimum limits of coverage: Workers' Compensation Florida Statutory Coverage Including coverage for any appropriate Federal Acts (e.g. Longshore and Harbor Workers Compensation Act, 33 USC §§ 901-952, and the Jones Act, 46 USC §§ 688 et seq.) where activities include liability exposures for events or occurrences covered by Federal statutes. Employer's Liability $100,000 Each Accident $500,000 Disease Policy Limit $100,000 Each Employee/Disease In the event that any services or activities of a professional nature are provided, Risk Management determines the coverage is necessary, pursuant to (k) below: Professional Liability(Errors and Omissions) $1,000,000 Each Occurrence/Claim In the event that children will be supervised in connection with the Event and Risk Management determines the coverage is necessary, pursuant to (k)below: Sexual Molestation Liability 1$1,000,000 Each Occurrence/Claim 1 In the event alcoholic beverages, including beer and wine,will be served, sold, consumed,or otherwise allowed at the Event, the entity serving or selling the alcoholic beverages must have the following coverage: Liquor Liability $1,000,000 Combined Single Limit (b) Participants — Except as set forth below, the Applicant shall assume all responsibility for Applicant's discretion in obtaining, if any, insurance from the Event's contributing participants and subcontractors(such as caterers, vendors,production companies, entertainers, sponsors)in the types and amounts necessary to adequately protect the County and the County's members, officials, officers, employees, and agents. iG Licen e ment Page 7 of 16 Initials